Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Goodman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114779626

Dr. Jack Goodman is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MT23106 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114779626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

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